Nursing HomeInspections

River Bend Nursing Center

Nursing home in West Sacramento, CA

Medicare & Medicaid certified3★ overall (CMS)

Call (916) 371-1890Send a messageMap ↗

Public-record details

Address
2215 Oakmont Way, West Sacramento, CA 95691
Phone
(916) 371-1890
Listed under
For-profit
Medicare CCN
055887
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
99
Average residents per day
90
Ownership
For-profit, limited Liability company
Legal business name
River Bend Holdings, LLC
Chain
Bvhc, LLC (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 8, 1968
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 055887. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 15, 2025. CMS lists 47 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 30, 2021 to Mar 30, 2026): 10 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 30, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 25, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 21, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 21, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 15, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 15, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 15, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 15, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Aug 15, 2025Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Aug 15, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Aug 15, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Dec 24, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 47. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $21,879 and 1 denial of Medicare payment for new admissions in the last three years.

Dec 14, 2023Fine: $21,879
Dec 14, 2023Payment denial for 2 days from Jan 3, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.90 hours
Registered nurse (RN) time per resident per day
1.02 hours
Nurse aide time per resident per day
2.37 hours
Total nurse staffing on weekends
4.66 hours
Nursing staff turnover (yearly)
43%
RN turnover (yearly)
37%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.